HomeMy WebLinkAboutPermit Plumbing 2008-1-11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01414
ISSUED. 09/1712007
APPLIED. 09/17/2007
EXPIRES: 07/1112008
VALUE: $ 63,900.00
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~,
Status
Issued
225 FIfth SII eet, Spnngfield, OR
54],726,3753 Phone
54],726,3676 Fax
54],726,3769 ]nspectlOn Lme
SITE ADDRESS. 2038 HARBOR DR
ASSESSOR'S PARCEL NO ]8031 ]2203900
Spnngfield TYPE OF WORK Manofactured Home on
Pnvate Lot
TYPE OF VSE New ReSldenllal
PROJECT DESCR]PTlON Manufactured home replacement
Owner JOHN KOZIOL
Address 35876 POWELL LN
PLEASANT HILL OR 97455
I CONTRACTOR INFORMATION I
Contractor Type
Genel3l
Electncal
Manuf Home [nst
Plumbmg
Contractor
HARR[SON JACOBSON [NC
MAG ELECTR[C [NC
HARR[SON JACOBSON [NC
HARR[SON JACOBSON [NC
License
66447
]49834
66447
66447
# of VUlts
Pnmdry Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
ATTE to
~aw rul88i1lb the Oregon UtIlity
.N lllicatlon .t e rules are setii ]
'61 AR952 "(lll'f(f ilgWO'AR~ .00
0090. You mtiVY0'OtWr ~Ies~ tiiSrlC
V'l:aIllng the d&'Mef. ~e: the telephdwfcfnc
number for tRe'Gfe'bUtlllty Notliloalilmtnc
3 Cen~dJlli:lV.l832'2344).
Spnnkled BUlldmg nla
I DEVELOPMENT [NFORMATlON I
Phone Number 54],74],9]07
ExpIration Date
0510712008
[2113/2009
05107/2008
05/07/2008
Phone
54] ,689,7762
54],46],0387
54]-689,7762
54],689,7762
Lot SIze
Sq Ft ] st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gauge/Carport
Sq Ft Other
Occupant Load
],326
REQUIRED PARKING
Frontyal d Setback 5060 Ovellay DlSt Urban Fnnge Total 2
Side I Set hack 4] 00 # Street Trees Rqd HandIcapped
S,de 2 Setback 500 Paved Dnve Rqd Compact
Rearyard Setback 6500 % of Lot Coverage ]720
Solar Setbdcks 000
I PUBLIC IMPROVEMENTS I
NOTICE: SIdewalk TJlIE'f T\-I'E WORI(
THIS PERMIT S~k\;..~!s/J:lERMIT IS NOT
AUTHORIZED uN'tltt1 '1 nil)
COMMENCED OR IS ABANDONED FOR
ANY 1 80 DAY PERIOD.
Street [mpl ovements
Storm Sewer Available
SpeCIal [nstructlOn
Notes Storm watel uses eXlStmg system
Paee [ of 3
-~~
Status
Issued
225 FIfth Street, SprIngfield, OR
541,726,3753 Phone
541,726,3676 FdX
541,726,3769 InspectIOn Lme
DescriptIOn
Tvne of ConstructIOn
FoundatIOn Onlv Use B,d Amount
Manuf Home Manufactured Home
Fee DescrIptIOn
+ 10% AdmmlStratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
FoundatIOn PermIt
Manuf Home Stdte Issuance
Manufactured Home Conn, Plmb
Manufactured Home Feeder
Manulactured Home Placement
Plan ReVIew Mmor, Plannmg
Plan ReVIew ReSIdentIal
+ 10% AdmmlStratlve Fee
+ 12% State Surchalge
+ 5% Technology Fee
Water Lme, 1st 50 Feet
Wdter LlDe' Each AddtlIOO'
Total Amount PaId
PlannID2 ReView
09/17/2007
Pubhc Works ReVIew
09/17/2007
Structural ReVIew
09/1712007
I ValuatIOn nescrmtlOn I
$ Per Sq Ft
or multIpher
$100
$100
Square Footage
or BId Amount
3,900 00
60,000 00
Total Value of ProJect
F'pp, P~lrI ,
Amount PaId
$33 22
$22 41
$26 57
$6716
$30 00
$50 00
$55 00
$16000
$11600
$43 65
$660
$792
$330
$50 00
$1600
$687 83
Date PaId
9/17/07
9/17/07
9/17/07
9117107
9/17/07
9/17/07
9/17/07
9117107
9/17107
9/17/07
1111/08
1/11/08
1/11/08
III 1/08
1/11/08
I Plan ReVIews ,
09/17/2007
09/17/2007
09/17/2007
APP T AJ
APP TSS
APP DLM
Paee 2 of 3
CITY 01' ~rKINGl'1J<.LD
Building/Combination Permit
PERMIT NO' COM2007-01414
ISSUED: 09/17/2007
APPLIED. 09/17/2007
EXPIRES 07/11/2008
VALUE: $ 63,900.00
Value
Ddte Calculated
$3,900 00
$60,000 00
$63,900 00
09/17/2007
09/17/2007
ReceIpt Number
2200700000000001456
2200700000000001456
2200700000000001456
2200700000000001456
2200700000000001456
2200700000000001456
2200700000000001456
2200700000000001456
2200700000000001456
1200700000000001199
1200800000000000028
1200800000000000028
1200800000000000028
1200800000000000028
1200800000000000028
ThIS lot IS locdted outSIde the
floodplam as shown on Panel 1144 01
the FIRM maps The umt IS dlso 28'
outSIde tbe Wlllamette Greenway
Setback hne AerIal shows an
eXlstmg street tree
Storm water uses eXlstmg system
No PW I~sues, no new ImpervIOus
surface
Approved as submItted
-Witij':'~ '"
'. 'I
- ...~- - ~ .
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO. COM2007-01414
ISSUED. 09/17/2007
APPLIED 09/17/2007
EXPIRES 07/11/2008
VALUE' $ 63,90000
225 FIfth Street, Spnngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 InspectIOn LlIle
To Request an mspectIon call the 24 hour recording at 726-3769. All mspectlOns requested before 7:00
a m. will be made the same workmg day, mspectlOns requested after 7:00 a.m will be made the followmg
work day.
I ReoUlred T nsnectJons ,
FoundatIOn After forms are erected but pnor to concrete pldcement
Manuf Home Set Up When mstallatlOn of all pIers or stands IS complete
o
Fmal Manuf Home Set Up After all reqUired mspectlOns are requested and app,oved and porches, sklrtmg,
decks, ventmg, street address numbers, trees, dnveway, ete have been IRS tailed
Fmal Bulldmg After all reqUIred mspecllons have been requested and approved and the buJldmg IS complete
Manuf Home Plumbmg After home hds been connected to water and sewel
MH Electnc When hlockmg, setup and plumbmg mspectlOns have been approved and the home IS connected to
the panel .
Water Lme Pnor to filhng II ench and mcludmg reqUired testmg
By sIgnature, I state and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby cerllfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the Stdte of 01 egon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be mdde of any structure WIthout permISSIon of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
I further cerllfy that only contractors and employees who are 10 comphdnce WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUired mspectlOns are requested at the proper lime, that each dddress " readable from the
street, that the permIt card IS located at the front of the property, and the approved set of plans will remam on the sIte at all
times dUrIng construction
/ ./
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Owner or Contrdctori"Slgnature
(-I (-~5
Date
Paee 3 of 3
225 Flfth.street
Sp.-.ngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01414
COM2007,O I 414
COM2007-014\4
COM2007-01414
COM2007-01414
Payments
Type of Payment
CredltCard
LRecemtl
RECEIPT #:
DescriptIOn
Water LIDe ,1st 50 Feet
Water LIDe - Each AddtllOO'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
WILLIAM HARRISON
ii(~
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
Public Works Department
1200800000000000028
Date. 0111112008
Item Total
L'heck Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb
31 I 145 In Person
Payment Total
Page I of I
II 54 42AM
Amount Due
5000
1600
330
792
660
$83 82
Amount Paid
$83 82
$83 82
1111/2008